“The right patient in the right place at the right time” is a fundamental principle to guarantee the swiftest and best definitive treatment for a trauma patient. This principle highlights the importance of the patient’s transportation from the field or from another healthcare facility to the right hospital and in a specific time: transportation becomes a key aspect in the management of trauma and is indispensable in maintaining the continuity of care. The transportation and the management of a trauma patient in the correct diagnostic and clinical pathway involve different aspects; the type and clinical condition of the patient, the Trauma Clinical Network (TCN), the team, the variety of characteristics typical of the operational territory, the weather, and the type of vehicle used are crucial elements to consider for a patient’s transportation.